Active NPI
Katrina Wyant, DC
- Chiropractor
- Watertown, NY
National Provider Identifier
1336780592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 013282
- Practice address
- 1155 Coffeen St
Watertown, NY 13601-1843 - Phone
- (315) 782-4700
- NPI assigned
- Sep 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 013282 | NY | Primary |
Addresses
Primary practice location
1155 Coffeen St
Watertown, NY 13601-1843
Mailing address
94220A Holdenbury Dr
Fort Drum, NY 13603-3269
Phone (315) 577-2779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Chiropractic and Wellness LLC | Chiropractor | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Bozeman, MT
- NPI 1124883723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1336780592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94220A HOLDENBURY DR",
"city": "FORT DRUM",
"state": "NY",
"postal_code": "136033269",
"telephone_number": "315-577-2779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 COFFEEN ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136011843",
"telephone_number": "315-782-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYANT",
"first_name": "KATRINA",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "013282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.